Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $851.14	Professional		$436.52	$575.44	$851.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $3,467.37 / $6,760.83	Facility		$1,479.11	$3,467.37	$6,760.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,174.90 / $1,230.27	Professional		$1,096.48	$1,174.90	$1,230.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Facility		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $1,348.96	Professional		$549.54	$758.58	$1,348.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,187.76 / $2,454.71	Facility		$660.69	$2,187.76	$2,454.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $933.25 / $1,412.54	Professional		$549.54	$933.25	$1,412.54
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $758.58 / $776.25	Professional		$549.54	$758.58	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $933.25 / $1,318.26	Facility		$331.13	$933.25	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $794.33	Professional		$389.05	$549.54	$794.33